Organization
INTEGRATED FOOT AND ANKLE SPECIALISTS OF NJ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA LEONARDA CIACCIO (CHIEF OPERATING OFFICER)
(516) 993-8666
Entity
Organization
Contact information
Practice address
401 SHORE RD, SOMERS POINT, NJ 08244-2630
(609) 927-4894
Mailing address
50 S 16TH ST FL 17, PHILADELPHIA, PA 19102-3530
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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